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医学专家解答脑血管疾病

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医学专家解答脑血管疾病

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医患新对话丛书的读者是广大患者,从解答病人询问的角度出发,汇总医生临床解答病人询问最多的问题,论述目前最新的药物与最新治疗方法、最新的科学研究与最新的医疗成果。立足在医生与患者的沟通,在预防与治疗的措施,在自查与自治知识的介绍,在药疗与食疗的方法,在求医和导医的结合等方面。用大专家写小书的方式,用简洁、明快、一目了然的手笔,用一问一答的形式,编写一套医患对话书籍。说“小书”不是“书小”,而是说较为薄一些,文字少一些,但在格调、水平上,将始终强调权威性、科学性和严谨的学术态度,目的是让读者信服,读得懂,用得上,实用性强。 本套丛书的两位主编,一位是我国中西医结合奠基者之一,德高望重的中华医学会副会长、全国急腹症专业委员会终身主任委员吴咸中院士;一位是在医疗领域有着极其重要贡献而得到世界关注的著名教授,天津医科大学校长、中华全国肿瘤学会副理事长郝希山院士。参加各分册编写工作的作者都是各学科内的杰出专家。《医学专家解答脑血管疾病》为医学专家解答脑血管疾病。
Catalogue

疾病篇
1.什么是脑血管疾病?
2.为什么要重视脑血管疾病的防治?
3.哪些人容易患脑血管疾病?
4.脑血管疾病是因为受风所引起的吗?
5.为什么要重视高血压病的防治?
6.为什么高血压能导致急性脑血管疾病的发生?
7.脑血管疾病与季节和气候有什么关系?
8.高脂血症是脑血管疾病的危险因素吗?
9.心脏病的患者为什么容易得脑血管疾病?
10.饮酒对脑血管疾病有利还是有害?
11.糖尿病为什么常常合并脑血管疾病发生?
12.肥胖与脑卒中有什么关系?
13.那些不良生活方式容易患脑血管疾病?
14.血液流变学的异常和脑血管疾病有什么关系
15.为什么情绪的变化也会导致脑血管疾病的发生?
16.为什么口服避孕药易引起缺血性卒中的发病?
17.偏头痛与卒中危险性有关联吗?
18.脑血管疾病有遗传吗?
19.盐摄人过多是否容易患脑血管疾病?
20.吸烟能导致脑血管疾病发病吗?
21.颈椎病和脑卒中有什么关系?
22.脑卒中的血管病变部位一定是发生在颅内吗?
23.脑部血液循环有什么生理特点?
24.什么是脑前血液循环障碍?
25.什么是脑后血液循环障碍?
26.为什么脑部病变和瘫痪肢体不在同一侧?
27.当面部瘫痪和肢体瘫痪不在同一侧时说明什么?
28.为什么卒中发生在脑干危险性更大?
29.为何有些脑血管疾病患者会出现语言障碍?
30.为什么脑卒中失语的患者临床表现不一样?
31.脑血管疾病患者为什么会发生上消化道出血?
32.脑血管疾病病人出现发热的原因是什么?
33.什么情况下脑血管疾病病人会出现二便障碍?
34.为什么脑卒中病人瘫痪肢体会出现疼痛?
35.为什么有些脑血管疾病病人会出现抽搐?
36.为何脑卒中患者突然会左右不分、不会计算和阅读?
37.脑卒中患者表现失用症说明什么?
38.什么是脑心综合征?
39.什么叫混合型卒中?
40.脑卒中患者会合并抑郁症吗?
41.脑血管疾病导致的偏瘫有“男左女右”区分吗?
42.为什么脑梗死的患者还会同时发生脑出血?
43.脑卒中患者出现意识障碍说明什么?
44.为什么说脑疝是病情最危重的状况?
45.如何观察脑血管疾病患者的病情变化和危重程度?
46.脑血管疾病的种类包括有哪些?
47.什么是脑出血?
48.脑出血的常见病因和诱发因素有哪些?
49.如何早期识别脑出血?

50.脑出血的好发出血部位有那些?
51.基底节区出血的临床表现特征是什么?
52.丘脑出血的临床特征有那些?
53.脑叶出血常表现哪些临床症状?
54.小脑出血的主要临床表现有哪些?
55.脑干出血表现哪些临床特征?
56.脑室出血的临床表现是什么?
57.什么是蛛网膜下腔出血?
58.蛛网膜下腔出血的主要发病原因是什么?
59.如何早期识别蛛网膜下腔出血?
60.为什么要对蛛网膜下腔出血患者做血管造影检查?
61.CT是诊断脑出血的主要检查手段吗?
62.头部磁共振(MRI)用于脑出血的诊断一定优于脑CT吗?
63.为什么CT已证实脑出血还需要做进一步的检查?
64.什么叫TIA?
65.为什么要重视TlA的早期防治?
66.TIA发病机制是什么?
67.TIA的临床表现特征是什么?
68.什么是腔隙性脑梗死?
69.腔隙性梗死的主要危险因素有那些?
70.为什么有些腔隙梗死的患者CT有病灶但临床却没有症状?
71.为什么脑卒中的患者会出现易哭、易笑?
72.脑栓塞与脑血栓形成有什么区别?
73.什么叫分水岭脑梗死?
74.为什么低血压人也同样患脑梗死?
75.脑动脉血栓形成后闭塞的血管能再通吗?
76.CT片呈现的软化灶影像会消失吗?
77.为什么脑梗死患者会出现CT检查是阴性结果?
78.脑梗死什么情况下才会考虑进一步做MRI检查?
79.年轻人患脑卒中的原因有那些?
……
治疗篇
护理篇
康复篇
预防保健篇
Book Abstract

脑血管疾病是指除脑外伤外的各种病因所导致供应脑部血管的病变,如颅内、外血管的狭窄或闭塞以及颅内血管的破裂出血,而引起的脑组织损害,统称为脑血管疾病。因脑血管疾病一般都急性发病,表现为口角歪斜,半身不遂,肢体麻木,严重病人还可出现抽搐或意识障碍,又称为脑血管意外、脑中风或脑卒中。为什么要重视脑血管疾病的防治?
因为至今在世界范围内脑血管疾病仍是严重威胁人类健康与生命的常见病和多发病。脑卒中具有高发病率、高死亡率、高致残率和高复发率“四高”特征。根据世界卫生组织一项多国调查研究表明脑血管疾病在世界范围内平均发病率为140/10万一200/10万。而我国脑血管疾病的发病率每年男性大约为170/10万,女性为130/10万,并有逐年上升趋势。目前脑卒中已成为人类死亡增加的第二位原因。根据国际上一项33个国家的调查表明脑卒中平均死亡率为100/10万。而我国从1985一1996年脑卒中死亡率为105/10万一135/10万,以此计算每年我国将有150多万人死于脑卒中。而每年仍存活的患病人数也达500万~700万人,其中75%不同程度地丧失劳动能力,严重致残患者约占40%。在美国,每年因卒中所导致的直接和间接经济损失达300亿一400亿美元。我国每年至少有150万新发卒中病。
Introduction

我国医疗行业,历来重视建立良好医德医风。随着社会主义经济体制的建立和医药卫生事业体制改革的不断深入,我们面临着许多新情况和新挑战。社。会主义市场经济体制得以形成,一方面极大地解放和发展了社会生产力,有力地促进了社会道德的时代性进步;另一方面,市场经济本身的弱点也对医务人员道德建设产生了一定的负面影响。医务人员的行医宗旨应该是“以病人为中心”,患者就医的根本愿望是得到医生的体贴和关爱,药到病除。然而,患者往往一时很难评价一个医生的水平,其检查手法、诊断是否准确,所能感受到的常常是医生的态度是否和蔼、言语是否亲切、动作是否轻柔。医生每天要接待大量病人,而这种接待更多的是体现在回答病人的询问。作为医生,理应以多种形式向患者介绍、讲解有关医疗资讯,介绍不同治疗方案,实施手术与非手术治疗的利弊,各种处置方法可能产生的后果,以及相关的费用等。尊重患者的知情权,帮助患者根据自己的情况做出选择,但是,一位医生每天要面对数十名,甚或百名患者,达到充分的医患对话几乎很难。在医患对话沟通的过程中,当患者的叙述被医生打断或忽视时(患者常反映:我还没说完,医生处方已经开好了),或医务人员以职业语言来解释医疗方案时,医患距离便成了难以逾越的鸿沟。医患之间的沟通,包括医生耐心聆听患者叙述,以非职业语言进行交流,患者积极参与和配合,这是取得理想医疗效果的重要因素。因此,加强医患对话可以大大缩短医患距离,也是良好医德医风的具体体现。
《医患新对话丛书》的立意在于在医患之间体现“人”的存在,体现人文关怀的根本主旨。指导医务人员给予患者充分的理解、同情和尊重,以亲情事医。以友情事医,对患者的内心世界和所处的

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